Medicaid Business Analyst

The Alabama Medicaid Agency (AMA) is preparing for a major transition from a monolithic system with 14 different business functions to a modern system and platform. This multi-year Modernization project will include working with multiple vendors and may include multiple project methodologies. The project must comply with the Federal standards and regulations such as: Medicaid Information Technology Architecture (MITA), CMS Seven Conditions and Standards, Outcomes- Based Certification (OBC), 21st Century Cures Act (Cures Act), Health Information Technology for Economic and Clinical Health act (HITECH act).

There are two vendors already in the program and there are three more contracts being actively worked on. The first Vendor to join the project was the Program Management Office (PMO) vendor who is responsible for managing the project, defining the AMA enterprise architecture, defining requirements, and leading the organizational change management effort.

The AMA is moving away from custom software development to procuring software that is configured to meet the business needs. This will require the Business Analyst to be very comfortable understanding the contract, the business, and the requirements. To support this effort, the AMA is seeking an experienced Business Analyst to be a member of the Medicaid Enterprise Systems (MES) team. The Business Analyst will be working collaboratively with a team of dynamic individuals working in a fast-paced environment. The Business Analyst will be responsible for reviewing and approving artifacts related to the program, project, or software. The Business Analyst must also understand the contract and be able to verify the contract requirements are met. The Business Analyst will be working directly with the business areas to support them and ensure their understanding of the vendor proposed solutions. This position will work closely with the business areas, vendors, and Project Management Office (PMO) vendor.

Understand contract monitoring for development, configuration, and operational activities

Review and follow the processes and procedures defined to support a program with multiple vendors.

Work with multiple vendors and multiple in-person or virtual teams.

Review program, project or software artifacts developed by multiple vendors and comment or approve

Interact professionally with a diverse group of executives, managers, and subject matter experts.

Perform standard project functions such as creating documents or presentations, schedule meetings, produce meeting minutes, disburse reports, track artifacts, issues, and action items, etc.

Provide business and requirements oversight

Understand all phases of a project management and software development life cycle.

Support multiple software development methodologies or software configuration activities

Assist with Centers of Medicaid, Medicare Service (CMS) reporting and certification process

Maintain project assets, communications, and track items to completion.

Identify and report on abnormalities or variances

Excellent and effective stakeholder management skills - comfortable speaking and discussing requirements and scope with users and senior stakeholders.

Excellent written and verbal communications and presentation skills.

A team player with strong interpersonal skills to build team rapport

Excellent research capabilities

Ability to multitask in an environment that has multiple conflicting priorities

Strong analytical, problem solving, data and business process analysis and design skills.

Ability to adapt and work in a fast- paced and dynamic group environment.

Ability to manage complexity well and demonstrated experience managing across functions to accomplish large scale goals.

Understand all phases of a project management and software development life cycle. Have knowledge of multiple project management methodologies.

A result-driven, independent thinker and initiative individual that is detail oriented, meticulous, and able to handle loads of information.

Ability to work independently with minimal direction from State or other team members.

Experience using and working with virtual and in house team member

Strong interpersonal skills to build team rapport

Excellent verbal and written communication skills

Ability to work independently with minimal direction from State or other team members.

Ability to work under pressure / to a deadline.

Strong analytical and critical thinking skills.

Exceptional research and reporting skills.

Experience Required

7 years of experience as a Senior Business Analyst with 3 years working on business process modelling and management.

5 years of experience in MMIS or domain knowledge of Medicare, Medicaid or with a major health care payer

2 years of experience with multi-vendor project

Expert/Advance experience in using Visio, MS Project, Office 365, Webex/Teams

10+ years of experience as a Senior Business Analyst with 3 years working on business process modelling and management.

5+ years of experience in MMIS or domain knowledge of Medicare, Medicaid or with a major health care payer

2+ years of experience at large multi contractor organizations, including leading centralized or matrixed teams.

3+ years of experience as a technical writer

Expert/Advanced knowledge of all Microsoft Office products including MS Project and SharePoint.

Education Desired

Bachelor s degree in business administration or another related field. Equivalent work experience may be substituted for a degree.